<p> 4745 Walnut Street, Boulder, CO 80301 (303) 494-3002 [email protected] www . mecr .edu</p><p>REFERENCE: MECR MONTESSORI CERTIFICATION COURSE (Three references are required) </p><p>Instructions to applicant: Please complete the confidentiality waiver, and fill in your name and chosen course level; provide this form to three people who have agreed to serve as professional references.</p><p>I (waive _____ , do not waive_____ ) my right to view this reference. </p><p>Electronically signed: ______date:______</p><p>Respondent: Thank you for completing this reference form for an applicant to our Montessori teacher-training program. Thank you for replying as soon as possible so that we can process the application. Please e-mail the completed reference to [email protected] and put the course level (I/T, EC, EI, EII, Administrator – see below) and student name in the Subject line, or mail to the above address.</p><p>REFERENCE for: ______Name of applicant Course Level (check one):</p><p>___ Infant &Toddler: birth-3 ___ Early Childhood: ages 2½ -6 ___ Elementary I : ages 6-9 ___ Elementary II : ages 9- 12 ___ Administrator Course</p><p>Name of person completing this form:______</p><p>Organization: ______Position ______</p><p>Address: ______Street City State Zip e-mail: ______Telephone: ______</p><p>1. How long have you known the applicant, and in what context? 2. What qualities does the applicant possess that would make him/her an effective teacher of children of the ages at his/her chosen Course Level (see above), or administrator of a Montessori program?</p><p>3. The Montessori teacher preparation courses, as well as the Administrator Course, involve coursework that requires college level study skills and a high degree of motivation, energy, responsibility, time-management skills, and attention to detail. Please comment on the qualities of the applicant in this regard.</p><p>4. Do you have any reservations regarding the ability or the suitability of the applicant to work with children or adults?</p><p>5. Can you offer any additional information that would be helpful in considering this application? SIGNATURE ______DATE ______</p>